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HomeMy WebLinkAboutPermit Mechanical 2003-1-6 _._ ~IIIhl,.OP. '~. .!......._, _~.;, ~:: \., \, . .~-' J --, ~~...._... ~ , ;; , . ~ ,r ~, . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line * . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-000IO ISSUED: 01/06/2003 APPLIED: 01/06/2003 EXPIRES: 07/06/2003 VALUE: SITE ADDRESS: 1405 LA WNRIDGE AVE ASSESSOR'S PARCEL NO.: 1703252206100 Springfield TYPE OF Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install insert and piping Owner: RAAF RAYMOND R Address: 1405 LAWNRIDGE AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Mechanical Owner Contractor MARSHALLS INC RAAF RAYMOND R ",\),.;.\ I BUILDING INFORMATIrl"ti\\t. ,. ~Qi . \.. 't.'I--\'\"~ ~WI\\ \S \\O,,\I#~~~mr&'s':r>.\.: i\\\S?t: t.O rQ\\ Lot Size: \\\\'0 'fie~~~t l~~Qt.~ r>.'Or>.~\)Q~ Sq Ft 1st Floor: U\~eJ-,~~t). \'0 Sq Ft 2nd Floor: ~ Q~~jU-;., ?'-P~t.~\Q\)' Sq Ft Basement: C, ,I' l\'!Ji!: U'YJie: Sq Ft Garage/Carport iI\\~ nergy Path: Sq Ft Other: 1m pervious Surface Area: License 25790 Expiration Date 12/23/2003 Phone 541-747-7445 # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: SETBACKS I DEVELOPMENT INFORMATION I REOUlRED PARKING 'joi)W" Overlay Dist: ~ le~lllles II ~o,\i\l.I: # Street Trees 'Ole~OIl Ill' ~e Ole~O ~_pped: Paved DriveR~~\O~' ,,\eob'j~ IIl\ese.~e9~diPh\t: . ~'i;.\ SeOO.. ~OSe OP-'" I. $ 'tN % of Lo /O\llmll~ ce'(\\e1. \~~Oll~~ . \~e (1)19 e \0 . ~iOIl .()O'I (} ~eS 01 ~~Oll ~\^~~~~~,,:t).()O'l J~.....lf\ CO~Q:"'C> \0\0\,I.-:-,,\iOIl IPUBLIC IMPJWV}~.\~II\el. ~~~ U\i\\\'j !'~o\). \.,~,- I...... \' ,! C\~O na.?-?:3""' ce~III'" \OI\~e1!1 ~k~I'YPe: ~be~ liS - III) cell\6 Downspouts/Drains Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft Square Footage Value Date Calculated I of 2 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- . + 10% Administrative Fee + 7% State Surcharge G.as Fireplace Gas Outlets 1-4 Minimum/Adjustment Mechanical Total Amount . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00010 ISSUED: 01/06/2003 APPLIED: 01/06/2003 EXPIRES: 07/06/2003 VALUE: Total Value of Project Fees P.aid I Amount Paid Date Receipt Number 1200200000000000496 1200200000000000496 1200200000000000496 1200200000000000496 1200200000000000496 1200200000000000496 $10.00 $4.50 $3.15 $15.00 $4.00 $26.00 1/6/03 1/6/03 1/6/03 1/6/03 1/6/03 1/6/03 $62.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. Ail inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I ReDuiretl ~ 1 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 2 Rough Mechanical: Prior to Cover 3 Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certifY that all iuformation hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certifY that only contractors and employees who are in compliance with ORS 701.005 wiD be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all timeo/ilurin. g c~ct. ion. , J 'J 1- 6 -u 3 Owner or fnt;actorUgn~ure Date 2 of 2 ~;. ;~'~ - Wir.., J _~'"'_'''~'''h''''' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-000 10 COM2003-000 I 0 COM2003-000 I 0 COM2003-0001O COM2003-0001O COM2003-000 I 0 Payments: T}pe of Payment Check Paid By MARSHALLS Receipt #: 1200200000000000496 Date: 01/06/2003 Description Gas Outlets 1-4 Gas Fireplace Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By Cbeck Number Coufinn No djb Page I of I 1/612003 , 1l:37:4IAM.- City of Springfield; Development Services Department Public Works Department Official Receipt Line Item Total: . Amount Paid 4.00 15.00 26.00 10.00 3.15 4.50 $62.65 . Amount Paid 62.65 $62.65 How Received In Person Pavment Total: cReceiplrpt